HomeMy WebLinkAbout1970-07-01 Permit, Water Supply Hook Up #2457Village Permit N 2 2 4 5 7-
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Contra tor Address
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Owner ( / t om'' Address ` �f e
State License
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Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date
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I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems
Install
sewage disposal systems
Repair
Install
ter supply systems:
Repair
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Fee $
Fee $
Fee $
Fee $ /D • C�
Total amount paid to Village....... $
Signature of applicant
Signature of Village Official